【摘要】 目的 :寻找一种有效的方法治疗高血压脑出血。方法 :在 X-刀工作站上对高血压脑出血的血肿 CT平片进行三维重建 ,根据血肿的形状和量的大小设置 1～ 3个靶点。通过立体定向技术将 12 F导管送置靶点 ,每天由导管注入尿激酶总量为 2 0 0 0 0～ 30 0 0 0 U ,夹闭导管 2 h后开放引流。结果 :70例高血压脑出血患者 ,92 %在 1～ 3d后拔管 ,血肿排出量达 90 %～ 95 % ,近期优良率为 6 8.6 % ,远期优良率为 82 .5 % ,病死率为 4.3%。结论 :该术式较开颅手术损伤小 ,较单纯立体定向血肿抽吸术血肿排出量更彻底 ,尤其适用于血肿形状不规则及血肿量较大者。更多还原

【Abstract】 Objective:To find effective method to treat hypertensive intracerebral hemorrhage.Methods:In the computer workstation,the intracerebral hematomas of three dimension on CT film was built.According to shape and volume of hematomas,1～3 targets were selected.Through stereotactic technique,12 F tubes were put into those targets.After 20 000～30 000u of Urokinase was infused into the hematomas through tubes every day,the tubes were clipped for 2 hours,then opened the tubes.70 patients with hypertensive intracerebral hemorrhage were treated by this method.Results:After aspirating hematomas for 1～3 days,90%～95% hematomas were evacuated.Over follow-up period (range from 2 to 48 month),the long-term useful recovery rate was 82.5%,and mortality was 4.3%.Conclusions:This method is specially suitable irregular shape of hematoma and can be used in various age,various bleeding position and volume.更多还原